• Title/Summary/Keyword: 복합증후군

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Deriving rules for identifying diabetic among individuals with metabolic syndrome (대사증후군 환자 가운데 당뇨환자를 찾기 위한 규칙 도출)

  • Choi, Jinwook;Suh, Yongmoo
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.363-372
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    • 2018
  • The objective of this study is to derive specific classification rules that could be used to prevent individuals with Metabolic Syndrome (MS) from developing diabetes. Specifically, we aim to identify rules which classify individuals with MS into those without diabetes (class 0) and those with diabetes (class 1). In this study we collected data from Korean National Health and Nutrition Examination Survey and built a decision tree after data pre-processing. The decision tree brings about five useful rules and their average classification accuracy is quite high (75.8%). In addition, the decision tree showed that high blood pressure and waist circumference are the most influential factors on the classification of the two groups. Our research results will serve as good guidelines for clinicians to provide better treatment for patients with MS, such that they do not develop diabetes.

Convergence of the relationship between smoking behavior and metabolic abnormalities in the Korean population: data from the Korean National Health and Nutrition Examination Surveys 2013-2015 (한국인의 흡연 행태와 대사이상 지표 사이 관련성에 관한 융복합 연구: 2013-2015 국민건강영양조사 자료에 근거하여)

  • Hwang, Hyo-Jeong;Choi, Yean Jung
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.81-89
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    • 2019
  • A total of 5,597 Korean subjects aged 20-64 years were analyzed using the KNHANES 2013-2015. Among the subjects, 41.1% of males and 5.5% of females were smokers, and risk of developing metabolic syndrome in smokers was significantly increased in men with age, alcohol, physical activity, obesity, and sleep(aOR 1.785, 95% CI 1.004-3.174), whereas it was not significantly higher in women. As a result of analyzing the difference of average nutrient intake according to smoking and metabolic syndrome, the energy, retinol and vitamin C intake were significant when age and gender were corrected in the smoker and metabolic syndrome group. In this study, we found that smoking behavior and metabolic syndrome were related to nutrient intake which requires a national level of lifestyle intervention for the prevention and management of metabolic syndrome.

Study for Reliability of Interpretation of the Three Phase Bone Scintigraphy in Patients with Post-traumatic Complex Regional Pain Syndrome (외상 후 복합부위통증증후군 환자에서 시행한 삼상 뼈 스캔의 판독 신뢰도에 관한 연구)

  • Park, Jung-Mi;Kim, Seon-Jung;Chung, Seung-Hyun;Lee, Yong-Taek
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.1
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    • pp.44-51
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    • 2008
  • Purpose: We performed this study to evaluate reliability on interpretation of three phase bone scintigraphy (TPBS) in patients with post-traumatic complex regional pain syndrome (PT-CRPS). Methods: Based on International Association for the Study of Pain guideline in 1994, 34 patients with PT-CRPS were selected for this study. Two nuclear medicine physicians evaluated identical TPBS according to the uptake pattern, extent and intensity of the lesion, and their agreements (kappa values) were analysed. The final diagnosis based on arbitrary criteria of each physician were compared with those obtained by the criteria for PT-CRPS established in this study, which are hyperactivity on all phases (criteria 1), hyperactivity of whole joints on delayed phase (criteria 2), and hyperactivity of either whole or FDGal joints on delayed phase (criteria 3). Results: Intra-observer agreements were good for uptake pattern, intensity, and extent on TPBS. Inter-observer agreements were also good, except extent on blood pool phase (0.55). The inter-observer agreements on final diagnosis improved when criteria 1-3 were applied (0.77-0.88), compared to when physician's own criteria were used (0.63). Those also improved from 0.29 to 0.47-0.82 for acute stage, and from 0.37 to 1.0 for chronic stage. The sensitivities of chronic stage were relatively lower to those of acute stage. Conclusions: Inter-observer's variations in diagnosis of the patients with PT-CRPS using TPBS were observed. These results were attributed to different criteria set by observers. In order to improve agreement on interpretation of TPBS, common positive criteria should be established, especially considering uptake pattern and clinical stages.

Congenital Cardiac Anomaly Combined with the VATER Association - A case report - (VATER 증후군에 동반된 선천성 심장기형 치험 1례)

  • Ban, Dong-Gyu;Kim, Hyuck;Jee, Heng-Ok;Chung, Won-Sang;Kang, Jung-Ho;Kim, Young-Hak;Lee, Chul-Bum;Ham, Shi-Young;Kim, Nam-Su
    • Journal of Chest Surgery
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    • v.34 no.11
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    • pp.858-860
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    • 2001
  • VATER is a complex anomaly of multiple organs and often combined with cardiac anomalies. However, it can be cured with active surgical intervention. We achieved successful result with aggressive surgery in the patient with VATER and report it with references.

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A convergence Study on Associated Factors on Metabolic Syndrome among Inpatients with Schizophrenia (조현병 입원환자의 대사증후군 관련요인에 대한 융복합연구)

  • Oh, Eunjin;Gang, Monnhee;Kim, Myoungsook
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.313-321
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    • 2018
  • Purpose: The purpose of the study was to identify the associated factors on the metabolic syndrome among inpatients with schizophrenia. Methods: The participants were 127 inpatients with schizophrenia from G mental hospital in G city. Collected data were analized with SPSS 22.0 using descriptive statistics, ${\chi}^2$-test, t-test and logistic regression. Results: Metabolic syndrome prevalence of the participants was 46.5%. There were statistically significant differences according to physical disease (${\chi}^2=11.51$, p<.001), body mass index (${\chi}^2=13.59$, p<.001), perception of obesity (${\chi}^2=8.38$, p<.001), and taking olanzapine (${\chi}^2=6.31$, p<.05). Conclusion: Based on the study results, the nursing intervention for prevention and management of metabolic syndrome is needed to develop and provide to schizophrenia patients.

Effects of Acceptance and Commitment Therapy(ACT) on IBS-Symptoms, Stress, Quality of Life, and Acceptance-Action of People with Irritable Bowel Syndrome (수용전념치료가 과민성대장증후군(IBS)이 있는 사람들의 IBS 증상, 스트레스, 삶의 질 및 수용 행동에 미치는 효과)

  • Jo, MinKyeong;Son, ChongNak
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.501-509
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    • 2018
  • The purpose of this study is to explore the effects of acceptance and commitment Therapy(ACT) on IBS-symptoms, stress, quality of life, and acceptance-action of people with irritable bowel syndrome(IBS). After 156 adults completed Rome III Adult Questionnaire, Fourteen participants selected to 7 in ACT group and 7 in the control group. All participants completed IBS Severity Scale, K-IBS-QOL, Acceptance & Action Questionnaire-16 at the pre-test, post-test, and the 4 weeks follow-up. The ACT programme was administered for 10 sessions. Dedicated people who participated in the study were 6 in ACT group, and 6 in the control group. As a result, ACT has positive effects on the change of perceived stress, quality of life, and acceptance-action, while has not on IBS-symptoms. This study suggest empirical evidence to prove that the ACT is effective in reducing stress and improving quality of life, and acceptance-action of IBS peoples. However, The study has only few participants and thus has limitations.

The Effect of Corticosteroid on the Diabetic-Pregnant Rats and It′s Fetus

  • Joo, Kyung-Mi;Han, Hye-Kyoung;Chung, Chun-Sik;Jung, Ki-Hwa
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1996.04a
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    • pp.204-204
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    • 1996
  • 모체의 당뇨병은 신생아 호흡부전 증후군의 중요한 소인의 하나이며, 이것은 태아의 폐성숙이 지연되어 폐포를 안정화시키는 표면활성물질의 결여에 기인하는 것으로 알려져 있다. 폐의 표면활성물질은 지질과 소량의 단백으로 이루어진 복합물질로서 그 주성분은 phosphatidyl choline이며 동물의 종속에 관계없이 임신 말기에 그 양이 현저히 증가한다. 양수내 인지질은 주로 태아 폐에서 유래하므로 임신 말기의 양수내 lecithin/sphingomyelin(L/S)비 측정으로 태아의 호흡부전 증후군을 예측할 수 있다. 일반적으로 당뇨병 모체의 양수는 L/S비가 낮아 당뇨병 산모로 부터 출생한 신생아에서 호흡부전증의 발생빈도가 높으므로 이를 예방하기 위하여 부신피질호르몬의 투여가 고려되고 있다.

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Restless Legs Syndrome developed from Complex Regional Pain Syndrome Type 1 (1형 복합국소통증증후군에 병발한 하지불안증후군)

  • Park, Kang Min;Kim, Sang Jin;Bae, Jong Seok;Woo, Chul Ho
    • Annals of Clinical Neurophysiology
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    • v.9 no.1
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    • pp.36-38
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    • 2007
  • The pathomechanisms involved in both restless legs syndrome (RLS) and complex regional pain syndrome type I (CRPS I) are still controversial whether they are central or peripheral origins. We recently encountered a patient who had an unusual coexistence of both RLS and CRPS I, and both of which showed good responses to sympathetic block. These findings suggest the role of peripheral mechanisms, especially unmyelinated small autonomic fiber, in both RLS and CRPS I.

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Development of Prediction Model for Prevalence of Metabolic Syndrome Using Data Mining: Korea National Health and Nutrition Examination Study (국민건강영양조사를 활용한 대사증후군 유병 예측모형 개발을 위한 융복합 연구: 데이터마이닝을 활용하여)

  • Kim, Han-Kyoul;Choi, Keun-Ho;Lim, Sung-Won;Rhee, Hyun-Sill
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.325-332
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    • 2016
  • The purpose of this study is to investigate the attributes influencing the prevalence of metabolic syndrome and develop the prediction model for metabolic syndrome over 40-aged people from Korea Health and Nutrition Examination Study 2012. The researcher chose the attributes for prediction model through literature review. Also, we used the decision tree, logistic regression, artificial neural network of data mining algorithm through Weka 3.6. As results, social economic status factors of input attributes were ranked higher than health-related factors. Additionally, prediction model using decision tree algorithm showed finally the highest accuracy. This study suggests that, first of all, prevention and management of metabolic syndrome will be approached by aspect of social economic status and health-related factors. Also, decision tree algorithms known from other research are useful in the field of public health due to their usefulness of interpretation.

Associations between the Practice of Health Behaviors and Awareness of Metabolic Syndrome among Adults (19-64 years) in the Gwangju-Jeonnam Area: 2010 Community Health Survey (광주 전남지역 성인의(19-64세) 건강생활실천과 대사증후군 인지와의 관련성 - 2010년 지역사회건강조사 자료를 이용하여 -)

  • Chun, In Ae;Ryu, So Yeon;Park, Hyeon Hui;Park, Jong;Han, Mi Ah;Choi, Seong Woo
    • Journal of agricultural medicine and community health
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    • v.38 no.4
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    • pp.217-228
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    • 2013
  • Objective: This study was performed to identify associations between the practice of health behaviors and awareness of metabolic syndrome (MetS) among adults aged 19 to 64 years in the Gwangju-Jeonnam area. Methods: This study utilized data from the 2010 Community Health Survey (CHS). Health behaviors considered in this study were smoking, alcohol drinking, physical activity, low-salt diet, and perception of stress. The index for the health behaviors was calculated as the sum of the practice of each health behavior (range: 0-5). The analysis was weighted with a complex sampling design, and the chi-square test and multiple logistic regression analysis were used to identify the association between the practice of health behaviors and awareness of MetS. Results: A total of 19.8% of the population were aware of MetS. The perception of MetS was statistically significantly associated with healthy behaviors, including nonsmoking (aOR = 1.33, 95% CI = 1.14-1.56), non-high-risk drinking (aOR = 1.54, 95% CI = 1.27-1.88), engagement in physical activity (aOR = 1.48, 95% CI = 1.28-1.72), and a low-salt diet (aOR = 1.30, 95% CI = 1.13-1.51). The ORs of the perception of MetS were significantly higher in patients with a health behavior index of 2 to 3 (aOR = 1.64, 95% CI = 1.01-2.66) and in those with an index of ${\geq}4$ (aOR = 2.47, 95% CI = 1.51-4.04) than in those with an index of 0. Among all health behaviors, physical activity had the highest OR for the perception of MetS (aOR = 1.50, 95% CI = 1.29-1.74). Conclusions: This study revealed associations between health behaviors, especially physical activity, and awareness of MetS. Therefore, integrated health promotion programs may be needed to enhance awareness of MetS and to effectively prevent MetS and non-communicable diseases.